Nurse Practitioner, Family
1 TEAM CLINIC LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1578000410 · enumerated 2017-01-31 · record updated 2017-01-31. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. CHARLES DOTY, President · (423) 639-0187
Addresses and phones
- Mailing address PO BOX 416, GREENEVILLE, TN, 37744-0416 (423) 639-0187 Fax (423) 639-2504 Google Maps Apple Maps OpenStreetMap
- Practice location 199 POTTERTOWN RD, MIDWAY, TN, 37809-3213 (423) 422-4454 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License 1043217352 TN
In this directory
Locations and evidence
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Practice location
MIDWAY, TN, 378093213
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.